406 NO. STRE
' z �----AP; CATION FOR BUILDING PERMIT
r ° t^� J If CITY OF CUPERTINO
o ' F � �- Sanitary No.
5 440 6
F o 1) /f^�,~ 196 Permit o.
4 Application is hereby a for a permi o
< w
iTv r
rtoeOT'W-10Iding
to be occupied only
go in accordance with Plans, pecificati s and Ploalan filed herewith.
F "; Estimated Value of Improvements,$..,�— Fee$ . O�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be compliednh, C'57
3 < ownerT�t`;N6 """"`-`S Address�"6 A,
— Z
Z Byh-u)Qy S(&.t��
La w Address
02
` 0 Phone — 4YSY Approv
l\ State LicenseWLDING INSPF.C]'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
IIA TE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR